{
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"FirstLineMailingAddress": "PO BOX 425",
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"MailingAddressCityName": "RIVER FALLS",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "54022-0425",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "258 RIVERSIDE DR",
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"EnumerationDate": "12/18/2007",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "HAMANN",
"AuthorizedOfficialFirstName": "JOHN",
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"Taxonomies": {
"Taxonomy": {
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}
},
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}
}
}
}